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Individual

MARK S GOROVOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME39771
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
066657200
FL
01
0868210-002
CIGNA
FL
01
15808
STAYWELL
FL
01
36319
BC/BS
FL
01
4209944
AETNA
FL
01
805595
UNITED HEALTHCARE
FL
01
P00117729
RR MEDICARE
FL
Enumeration date
05/23/2005
Last updated
09/22/2020
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